Abstract
Atypical fibroxanthoma (AFX) is a cutaneous neoplasm of mesenchymal origin. The mainstay of treatment is complete surgical excision. Recurrence is estimated at between 2 and 20% and metastasis has previously been reported. This series presents a retrospective audit over 10 years, identifying 39 lesions in 28 patients. Complete excision was achieved in 27/28 cases and recurrence was noted in 8/28 (29%) including 3/28 (11%) re-recurrences. Recurrence occurred between 3 to 48 months. Re-recurrence was seen in three cases and no metastases were noted in this series. AFX should be considered as a differential diagnosis in patients presenting with nodular lesions in sun-exposed areas. Excision with a 3-mm margin is recommended, however, recurrence is common even after complete excision. Follow up is recommended once every 3 months for the first 2 years.
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Clover, A.J.P., Athanassopoulos, A., Hafeez, A. et al. Atypical fibroxanthoma: 10-year experience from a single unit. Eur J Plast Surg 31, 51–54 (2008). https://doi.org/10.1007/s00238-008-0229-z
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DOI: https://doi.org/10.1007/s00238-008-0229-z